<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<link href="css/style.css" type="text/css" rel="stylesheet" />
<link href="css/total.css" type="text/css" rel="stylesheet" />
<link href="css/float.css" type="text/css" rel="stylesheet" />
</head>
<body>

<div class="ffform">
    <div class="fftitle">
        <span style="font-size: 15px; color: white; font-weight: bold; padding-left: 10px; padding-top: 20px;"> Góp Ý / Báo Lỗi  </span>

    </div>
    
    <div class="ffbody"> 
            
            
            
            <div class="fftopicl">
                <span>Chủ đề</span>
            </div>
            
            <div class="fftopicr" >
                <select style="width: 233px;" name="need" id="need" class="form_select">
                	<option value="tatca">Chủ đề cần phản hồi</option>
    				<option value="thue">Báo Lổi</option>
                    <option value="chothue">Yêu cầu chức năng</option>
                    <option value="oghep"> Góp ý nội dung </option>
                    <option value="oghep"> Khác </option>
    
    			</select>
            </div>
            
            <div class="fftopicl">
                <span>Nội Dung</span>
            </div>
            
            <div class="fftopicr">
                <textarea style="width: 235px; height: 96px;"> </textarea>
            </div>
                
                
                <button style="margin-left: 88px; margin-top: 14px;"><span> Gơi Thông Tin  </span></button>
                <button><span> Hủy Bỏ  </span></button>
            
            
            
            
                
    
    </div>

</div>

